| NPI | 1841582541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 17685) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2014011218) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2016-07-28 |